Best Practice Case Studies-Case 112 Asset 1 Peroneal Tenosynovitis

Case 112 Asset 1 Peroneal Tenosynovitis

Video Transcription

Video Summary

Ryan Nussbaum, a sports medicine physician at UPMC, reviews an ultrasound consult case of peroneal tendinopathy. Short-axis ultrasound images identify the peroneus longus, peroneus brevis, and fibula. As the scan traces from the distal lower leg to the lateral malleolus, both tendons enlarge, consistent with tendinopathy. Heterogeneous and hypoechoic/anechoic fluid signals around the tendons indicate tenosynovitis and swelling beneath the peroneal retinaculum. There is concern for retinacular disruption with disorganization near the lateral malleolus. Color Doppler shows surrounding hyperemia, supporting an inflammatory process.

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 2

Topic Ankle

Keywords

peroneal tendinopathy

peroneus longus and brevis ultrasound

peroneal tenosynovitis

lateral malleolus retinacular disruption

color Doppler hyperemia

4th Edition

4th Edition, Case 2

Ankle